- Molina Healthcare (Cincinnati, OH)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- Elevance Health (Cincinnati, OH)
- …+ **HealthOS and enterprise data platforms** + **Real-time Decisioning & Analytics (RDA)** + ** Cost of Care / Payment Integrity** + ** Care Management / ... Realization Office) and enterprise transformation leaders to assess clinical and medical cost implications of strategic initiatives. + Evaluate program designs… more
- Elevance Health (Mason, OH)
- …appeals for physical health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing and ... **Medical Director -Dermatology Appeals** **Location:** This role enables associates to...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Elevance Health (Cincinnati, OH)
- …physical and/or behavioral health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing ... **Medical Director -Long Term Support and Services** _Preferred Location:...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Bon Secours Mercy Health (Green Township, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... clinicians are recognized for clinical and operational excellence. The Director of Mission, under the direction of the Market...Serve a Co-chair of ethics committee and leads ethics program for the institution. Coordinates with Group Ethics lead… more
- Molina Healthcare (Cincinnati, OH)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- WTW (Cincinnati, OH)
- **Description** The Associate Director works within the Financial, Actuarial and Analytics (FAA) team and closely with the Pharmacy Practice within Health and ... Benefits. As a Pharmacy Associate Director you will contribute to a wide variety of...team members to review and perform financial analyses including cost savings and data analysis projections, create, review and… more
- Sedgwick (Cincinnati, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director - Customer Integration and Compliance **PRIMARY PURPOSE** **:** We are seeking ... a strategic and results-oriented Director to lead a high-performing team responsible for a...broad range of technical and operational functions supporting managed care and bill review services. This role is pivotal… more
- Molina Healthcare (Cincinnati, OH)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- Molina Healthcare (Cincinnati, OH)
- …least 2 years as a medical director in a managed care organization setting supporting utilization management/quality program management, or equivalent ... specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral… more
- Bon Secours Mercy Health (Batavia, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... clinicians are recognized for clinical and operational excellence. The Quality Director is responsible for overseeing and administering the quality and performance… more
- Molina Healthcare (Cincinnati, OH)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- The Clorox Company (Mason, OH)
- …**Your role at Clorox:** As the Director if Sales - Strategic Grocery you ... needs. This includes robust health plans, a market-leading 401(k) program with a company match, flexible time off benefits...aligned to one of three zones according to the cost of labor in your area. -Zone A: $175,100… more
- Cintas (Mason, OH)
- **Requisition Number:** 183102 Cintas is seeking a Tax Director . Responsibilities include leading the quarterly and annual domestic and international tax computation ... competitive medical, dental and vision benefits, featuring employee health care premiums that are 30% lower than the national...our medical plan options is even offered at zero cost to our partners. Additionally, our employee-partners enjoy: *… more
- Molina Healthcare (Cincinnati, OH)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation and negotiations ... with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving… more
- Molina Healthcare (Cincinnati, OH)
- …plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Responsible for collaborating ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- ARCO (Cincinnati, OH)
- …career. **WHAT WE CAN OFFER YOU** At ARCO, we are committed to taking care of our greatest asset - our team. ARCO's best-in-class benefits and superior compensation ... and continue to attract top industry talent. + Industry-leading performance-based bonus program + Employee Stock Ownership Plan (ESOP) + Traditional and Roth 401k… more
- Bon Secours Mercy Health (Cincinnati, OH)
- … Program at Anderson Hospital participating in the Critical Care Cohort program developed by the Director of Critical Care and Cardiovascular Services ... Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians… more
- Bon Secours Mercy Health (Cincinnati, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... Function/General Purpose of Position** The Risk Score Accuracy (RSA) Program Manager provides leadership, oversight, coordination, and subject matter expertise… more
- City of Cincinnati (Cincinnati, OH)
- …Girls Club, etc.) OR Two years of experience as a Community Center Director or Therapeutic Recreation Program Coordinator, with the Cincinnati Recreation ... & Girls Club etc.) OR One year experience as a Community Center Director or Therapeutic Recreation Program Coordinator, with the Cincinnati Recreation… more